MEDICARE: MR. CHRISTOPHER ALLEN REYNOLDS JR. CT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor

General Provider Information

NPI Number	:	1295039592
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. CHRISTOPHER ALLEN REYNOLDS JR. CT

Provider Business Mailing Address
First Line	:	200 MCFARLAND ST
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45202-2615
Country	:	US
Telephone Number	:	513-354-5709
Fax Number	:	513-354-8559

Provider Business Practice Location Address
First Line	:	200 MCFARLAND ST
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45202-2615
Country	:	US
Telephone Number	:	513-354-5709
Fax Number	:	513-354-8559

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/29/2010
Last Update Date	:	12/29/2010

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Directions to “ MR. CHRISTOPHER ALLEN REYNOLDS JR. CT” Practice Location

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